Rainbow City Family Eye Care, LLC

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

License

S-732-TA-108 Issued in AL

Legal business name

RAINBOW CITY FAMILY EYE CARE, LLC

Practice address

115 W Grand Ave
Suite 120
Rainbow City, AL 35906-3275

Phone

(256) 442-9350

Fax

(256) 442-9352

NPI assigned

Sep 14, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Amanda V Wall

Title

Office Manager

Phone

(256) 442-9350

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Rainbow City Family Eye Care LLC

  • Optometrist
  • Oneonta, AL
  • NPI 1871717199

  O20110210000982

  Same enrollment

Tax ID family

Rainbow City Family Eye Care LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Rainbow City Family Eye Care LLC

  • Optometrist
  • Oneonta, AL
  • NPI 1871717199
  NPD tax ID

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sarah Bui, OD

  • Optometrist
  • Trussville, AL
  • NPI 1114804614
  Medicare reassignment NPD
• Harold Eugene Harrison, O.D.

  • Optometrist
  • Rainbow City, AL
  • NPI 1619042850
  Medicare reassignment NPD
• April R. King, O.D.

  • Optometrist
  • Rainbow City, AL
  • NPI 1881888527
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1189728000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1313712000000",
    "number": "1912193798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 W GRAND AVE",
            "address_2": "SUITE 120",
            "city": "RAINBOW CITY",
            "state": "AL",
            "postal_code": "359063275",
            "telephone_number": "256-442-9350",
            "fax_number": "256-442-9352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 W GRAND AVE",
            "address_2": "SUITE 120",
            "city": "RAINBOW CITY",
            "state": "AL",
            "postal_code": "359063275",
            "telephone_number": "256-442-9350",
            "fax_number": "256-442-9352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAINBOW CITY FAMILY EYE CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-14",
        "last_updated": "2011-08-19",
        "status": "A",
        "authorized_official_last_name": "WALL",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "256-442-9350",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "AL",
            "license": "S-732-TA-108",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009946420",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Eyewear Supplier in Rainbow City, AL
• Providers in Rainbow City, AL by specialty
• Eyewear Supplier in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.